Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,640Medicare Part D Prescriptions Filled, Including Refills

Rank: 28 out of 473

$676K Total Retail Price of All Prescriptions

Rank: 29 out of 473

1,211 Patients Receiving at Least One Drug in Part D
86% Patients 65 Years and Older

24% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Nevada
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

23% of this provider’s 1,211 patients filled at least one prescription for an antibiotic drug, compared to an average of 25%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 1,037 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

24% of this provider’s 1,211 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$50 was the average price of a prescription from this provider, compared to $57 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$435K

2012

$495K

2013

$498K

2014

$676K

2015

Number of Claims

10,487

2012

11,498

2013

10,166

2014

13,640

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

737

prescriptions, 5% of all prescriptions

622

prescriptions.

248

patients, 20% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

682

prescriptions, 5% of all prescriptions

478

prescriptions.

180

patients, 15% of all patients

O 2 7
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

546

prescriptions, 4% of all prescriptions

493

prescriptions.

186

patients, 15% of all patients

3 9
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

489

prescriptions, 4% of all prescriptions

418

prescriptions.

163

patients, 13% of all patients

4 5
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

473

prescriptions, 3% of all prescriptions

339

prescriptions.

173

patients, 14% of all patients

5 6
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

447

prescriptions, 3% of all prescriptions

395

prescriptions.

147

patients, 12% of all patients

6 2
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

377

prescriptions, 3% of all prescriptions

318

prescriptions.

155

patients, 13% of all patients

7 22
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

353

prescriptions, 3% of all prescriptions

288

prescriptions.

110

patients, 9% of all patients

8 8
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

334

prescriptions, 2% of all prescriptions

329

prescriptions.

105

patients, 9% of all patients

9 3
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

291

prescriptions, 2% of all prescriptions

262

prescriptions.

117

patients, 10% of all patients

10 30
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

286

prescriptions, 2% of all prescriptions

225

prescriptions.

84

patients, 7% of all patients

11 4
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

284

prescriptions, 2% of all prescriptions

238

prescriptions.

97

patients, 8% of all patients

12 13
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

281

prescriptions, 2% of all prescriptions

226

prescriptions.

95

patients, 8% of all patients

13 10
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

253

prescriptions, 2% of all prescriptions

201

prescriptions.

61

patients, 5% of all patients

14 11
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

247

prescriptions, 2% of all prescriptions

161

prescriptions.

84

patients, 7% of all patients

15 24
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

226

prescriptions, 2% of all prescriptions

153

prescriptions.

91

patients, 8% of all patients

16 62
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

225

prescriptions, 2% of all prescriptions

202

prescriptions.

81

patients, 7% of all patients

17 50
LOVASTATIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

203

prescriptions, 1% of all prescriptions

198

prescriptions.

64

patients, 5% of all patients

18 17
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

188

prescriptions.

93

patients, 8% of all patients

O 19 25
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

183

prescriptions, 1% of all prescriptions

164

prescriptions.

65

patients, 5% of all patients

20 58
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

181

prescriptions, 1% of all prescriptions

140

prescriptions.

65

patients, 5% of all patients

21 12
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

180

prescriptions, 1% of all prescriptions

149

prescriptions.

84

patients, 7% of all patients

22 14
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

155

prescriptions, 1% of all prescriptions

142

prescriptions.

36

patients, 3% of all patients

23 28
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

141

prescriptions.

45

patients, 4% of all patients

24 23
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

135

prescriptions.

135

patients, 11% of all patients

A 24 95
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

151

prescriptions, 1% of all prescriptions

136

prescriptions.

49

patients, 4% of all patients

26 37
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

118

prescriptions.

45

patients, 4% of all patients

27 15
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

116

prescriptions.

39

patients, 3% of all patients

28 20
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

90

prescriptions.

89

patients, 7% of all patients

29 160
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

116

prescriptions.

46

patients, 4% of all patients

29 16
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

107

prescriptions.

43

patients, 4% of all patients

31 29
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

103

prescriptions.

41

patients, 3% of all patients

32 47
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

87

prescriptions.

34

patients, 3% of all patients

33 26
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

91

prescriptions.

29

patients, 2% of all patients

34 38
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

69

prescriptions.

27

patients, 2% of all patients

35 34
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

82

prescriptions.

60

patients, 5% of all patients

36 40
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

73

prescriptions.

36

patients, 3% of all patients

37 72
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

85

prescriptions.

33

patients, 3% of all patients

38 19
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

70

prescriptions.

25

patients, 2% of all patients

39 43
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

73

prescriptions.

69

patients, 6% of all patients

A 40 59
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

66

prescriptions.

26

patients, 2% of all patients

41 31
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

26

patients, 2% of all patients

O 42 123
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

71

prescriptions.

26

patients, 2% of all patients

43 32
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

60

prescriptions.

28

patients, 2% of all patients

44 96
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

61

prescriptions.

34

patients, 3% of all patients

44 18
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

38

prescriptions.

26

patients, 2% of all patients

46 52
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

71

prescriptions.

20

patients, 2% of all patients

47 21
BENAZEPRIL HCL

Benazepril is used alone or... +

Benazepril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

48

prescriptions.

18

patients, 1% of all patients

47 68
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

51

prescriptions.

20

patients, 2% of all patients

49 49
METFORMIN HCL ER

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

64

prescriptions.

20

patients, 2% of all patients

49 51
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

61

prescriptions.

24

patients, 2% of all patients

51 27
QVAR

Prevents asthma attacks. +

Prevents asthma attacks. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

18

patients, 1% of all patients

52 145
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

18

patients, 1% of all patients

53 56
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

21

patients, 2% of all patients

54 48
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

43

prescriptions.

20

patients, 2% of all patients

54 44
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

17

patients, 1% of all patients

56 91
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

15

patients, 1% of all patients

57 55
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

16

prescriptions.

15

patients, 1% of all patients

57 53
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

30

prescriptions.

12

patients, 1% of all patients

59 69
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

47

patients, 4% of all patients

A 60 114
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

34

prescriptions.

25

patients, 2% of all patients

60 120
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

30

prescriptions.

18

patients, 1% of all patients

60 54
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

12

prescriptions.

16

patients, 1% of all patients

60 64
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Jan. 17, 2017.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.